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1992年1月至1998年1月我院诊治老年(60岁以上)甲亢13例。现对误诊9例病人分析如下。1 临床资料 男4例,女5例。年龄>60岁 5例,>70岁3例,>80岁1例。误诊时间3个月至2年。误诊疾病:高血压2例,冠心病2例,慢性结肠炎1例,低钾血症1例,老年性关节炎1例,老年性痴呆症1例,左股骨颈骨折1例。体检甲状腺Ⅰ°肿大3例,Ⅱ°肿大2例,正常4例。施特尔瓦格征(Stellwag sign)阳性5例。全部病例行T_3、T_4、TSH测定。T_3增高6例,正常3例;T_4增高5例,下降1例,正常3例;TSH增高1例,正常6
January 1992 to January 1998 in our hospital diagnosis and treatment of elderly (60 years of age) 13 cases of hyperthyroidism. Now misdiagnosed 9 patients analysis is as follows. 1 clinical data of 4 males and 5 females. 5 patients aged> 60 years old, 3 cases> 70 years old and 1 case> 80 years old. Misdiagnosis time 3 months to 2 years. Misdiagnosis of disease: hypertension in 2 cases, coronary heart disease in 2 cases, 1 case of chronic colitis, hypokalemia in 1 case, senile arthritis in 1 case, senile dementia in 1 case, left femoral neck fracture in 1 case. Physical examination Ⅰ ° thyroid enlargement in 3 cases, Ⅱ ° enlargement in 2 cases, normal in 4 cases. Stellwag sign (Stellwag sign) positive in 5 cases. All cases T_3, T_4, TSH determination. T_3 increased in 6 cases and normal in 3 cases; T_4 increased in 5 cases, decreased in 1 case and normal in 3 cases; TSH increased in 1 case, normal 6